NR 606 FINAL ACTUAL EXAM 2025
COMPLETE ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (CORRECT
VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS A+ (FULL
REVISED EXAM) NR 606 FINAL
Stimulant Medications: Methylphenidate - ,,,answer,,,..-Low risk of adverse
effects
-Available formulations:
• Ritalin - available in immediate release (IR) and extended release (XR)
available in beads that may be sprinkled on food for ,,,answer,,, who cannot
swallow pills
• Concerta biphasic - combined immediate and delayed release in one
medication
• Daytrana - patch applied in AM and removed after 9 hour
Stimulant Medications: Dexmethylphenidate (Focalin) - ,,,answer,,,..-Available in
IR and ER
-More potent than Ritalin
-High risk of adverse effects
Stimulant Medications: Amphetamine (Adzenys) - ,,,answer,,,..-available in
orally disintegrating ER formula for ,,,answer,,, who cannot swallow pills
-Avoid prescribing when an MAOI has been used within 14 days
Stimulant Medications: Dextroamphetamine (Adderall) - ,,,answer,,,..-Available
in IR and extended-release formulations
-Often dosed in morning (IR or XR) with an evening or evening prn (IR) dose if
med effects diminish prior to end of school, study or the workday
,-Most abused & diverted prescription stimulant
Stimulant Medications: Lisdexamfetamine (Vyvanse) - ,,,answer,,,..-Biologically
inactive until metabolized by the body (Prodrug)
-Less abuse & diversion potential than other stimulants
-Higher-cost medication
Non-stimulant medication: Atomoxetine (Strattera) - ,,,answer,,,..-
Noradrenergic (NRI)
-Initial drug of choice for adults with ADHD
-no abuse potential
-tolerated well when prescribed in BID dosing
-appropriate choice for comorbid substance abuse
-may augment the effects of antidepressants & antianxiety meds
-can be dosed at bedtime if fatigue is noted
-unlikely to worsen tics
Non-stimulant medication: Clonidine - ,,,answer,,,..-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-enhances precortical function for better mental focus
-appetite neutral
-may help with sleep disturbances, administer at bedtime
-adverse effects:
• sedation, brain fog
-monitor of BP closely during initial titration, risk of hypotension
-tapered to avoid rebound hypertension post discontinuation
Non-stimulant medication: guanfacine - ,,,answer,,,..-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-may also be used for ,,,answer,,, with tics, sleep disturbances, or aggression
-tolerability & convenience enhanced by once-daily oral controlled-release
formulation
-adverse effects:
• sedation, headache, decreased appetite
-reduced side-effect profile comparable to clonidine
-bedtime administration to avoid daytime sedation
Non-stimulant medication: Bupropion (Wellbutrin) - ,,,answer,,,..-
Norepinephrine Dopamine Reuptake Inhibitor
-off-label use for ADHD in adults
,-appropriate for clients with concurrent depression or tobacco abuse
Attention-deficit/hyperactivity disorder (ADHD) - ,,,answer,,,..-one of the most
common neuropsychiatric disorders
-approximately 9.4% of ,,,answer,,, in the U.S.
-more frequently males than females, ratio 2:1
-symptom burden mild to severe
-characterized by consistent pattern of inattention &/or hyperactivity &
impulsivity that interferes with functioning & development
• affect development of proper cognitive, behavioral, emotional, social, &
academic function
-hyperactivity and impulsivity ADHD subtype symptoms: excessive fidgeting or
talking, feelings of restlessness and impatience, frequent interruption, and
difficultly playing quietly
-inattentive ADHD subtype symptoms: difficulty organizing tasks, maintaining a
routine, and paying attention to detail
• may not be distinguishable until eight or nine years of age
-primarily disrupts neuronal connections within the frontal lobe & prefrontal
cortex
Without early identification and proper treatment, ADHD can cause disruptions
in: - ,,,answer,,,..academic performance
family stress
difficulties in social relationships
accidental injuries
ADHD is associated with: - ,,,answer,,,..increased rates of depression & SUD
Symptoms of ADHD - ,,,answer,,,..-Selective Attention
• Lack of attention to detail
• Careless mistakes
• Not listening
• Losing things
• Diverting attention
• Forgetfulness
-Lack of Sustained Attention
• Poor problem solving
• Difficulty completing tasks
• Disorganization
• Difficulty sustaining mental effort
, -Impulsivity
• Excessive talking
• Blurting things out
• Not waiting for one's turn
• Interrupting
-Hyperactivity
• Fidgeting
• Leaving one's seat
• Running, climbing
• Trouble playing quietly
When is ADHD most often diagnosed - ,,,answer,,,..-preschool and elementary
school
• inattentive features become more prominent
ADHD Lifespan Considerations: Symptoms Change with Age - ,,,answer,,,..-
Young ,,,answer,,, with ADHD
• often have developmental delays
• may engage in behaviors less mature than peers
-Teens with ADHD at risk for:
• poor academic performance
• problems with driving
• difficulties with social situations
• risky sexual behavior
• substance abuse
->75% of ,,,answer,,, with ADHD experience symptoms in adulthood
-Adolescents & Adults with ADHD
• may struggle with executive function, attention, working memory
• problems with day-to-day functioning, performance at work, relationships
ADHD is a deficiency of neurotransmitters, mainly _________ & _________ -
,,,answer,,,..dopamine and norepinephrine
ADHD diagnostic criteria - ,,,answer,,,..-A pattern of at least six symptoms of
inattention and/or hyperactivity-impulsivity that interfere with functioning or
development.
-Symptoms persist for six months or longer.
COMPLETE ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (CORRECT
VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS A+ (FULL
REVISED EXAM) NR 606 FINAL
Stimulant Medications: Methylphenidate - ,,,answer,,,..-Low risk of adverse
effects
-Available formulations:
• Ritalin - available in immediate release (IR) and extended release (XR)
available in beads that may be sprinkled on food for ,,,answer,,, who cannot
swallow pills
• Concerta biphasic - combined immediate and delayed release in one
medication
• Daytrana - patch applied in AM and removed after 9 hour
Stimulant Medications: Dexmethylphenidate (Focalin) - ,,,answer,,,..-Available in
IR and ER
-More potent than Ritalin
-High risk of adverse effects
Stimulant Medications: Amphetamine (Adzenys) - ,,,answer,,,..-available in
orally disintegrating ER formula for ,,,answer,,, who cannot swallow pills
-Avoid prescribing when an MAOI has been used within 14 days
Stimulant Medications: Dextroamphetamine (Adderall) - ,,,answer,,,..-Available
in IR and extended-release formulations
-Often dosed in morning (IR or XR) with an evening or evening prn (IR) dose if
med effects diminish prior to end of school, study or the workday
,-Most abused & diverted prescription stimulant
Stimulant Medications: Lisdexamfetamine (Vyvanse) - ,,,answer,,,..-Biologically
inactive until metabolized by the body (Prodrug)
-Less abuse & diversion potential than other stimulants
-Higher-cost medication
Non-stimulant medication: Atomoxetine (Strattera) - ,,,answer,,,..-
Noradrenergic (NRI)
-Initial drug of choice for adults with ADHD
-no abuse potential
-tolerated well when prescribed in BID dosing
-appropriate choice for comorbid substance abuse
-may augment the effects of antidepressants & antianxiety meds
-can be dosed at bedtime if fatigue is noted
-unlikely to worsen tics
Non-stimulant medication: Clonidine - ,,,answer,,,..-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-enhances precortical function for better mental focus
-appetite neutral
-may help with sleep disturbances, administer at bedtime
-adverse effects:
• sedation, brain fog
-monitor of BP closely during initial titration, risk of hypotension
-tapered to avoid rebound hypertension post discontinuation
Non-stimulant medication: guanfacine - ,,,answer,,,..-α 2 agonist
• May be taken as monotherapy or with stimulant medications
-may also be used for ,,,answer,,, with tics, sleep disturbances, or aggression
-tolerability & convenience enhanced by once-daily oral controlled-release
formulation
-adverse effects:
• sedation, headache, decreased appetite
-reduced side-effect profile comparable to clonidine
-bedtime administration to avoid daytime sedation
Non-stimulant medication: Bupropion (Wellbutrin) - ,,,answer,,,..-
Norepinephrine Dopamine Reuptake Inhibitor
-off-label use for ADHD in adults
,-appropriate for clients with concurrent depression or tobacco abuse
Attention-deficit/hyperactivity disorder (ADHD) - ,,,answer,,,..-one of the most
common neuropsychiatric disorders
-approximately 9.4% of ,,,answer,,, in the U.S.
-more frequently males than females, ratio 2:1
-symptom burden mild to severe
-characterized by consistent pattern of inattention &/or hyperactivity &
impulsivity that interferes with functioning & development
• affect development of proper cognitive, behavioral, emotional, social, &
academic function
-hyperactivity and impulsivity ADHD subtype symptoms: excessive fidgeting or
talking, feelings of restlessness and impatience, frequent interruption, and
difficultly playing quietly
-inattentive ADHD subtype symptoms: difficulty organizing tasks, maintaining a
routine, and paying attention to detail
• may not be distinguishable until eight or nine years of age
-primarily disrupts neuronal connections within the frontal lobe & prefrontal
cortex
Without early identification and proper treatment, ADHD can cause disruptions
in: - ,,,answer,,,..academic performance
family stress
difficulties in social relationships
accidental injuries
ADHD is associated with: - ,,,answer,,,..increased rates of depression & SUD
Symptoms of ADHD - ,,,answer,,,..-Selective Attention
• Lack of attention to detail
• Careless mistakes
• Not listening
• Losing things
• Diverting attention
• Forgetfulness
-Lack of Sustained Attention
• Poor problem solving
• Difficulty completing tasks
• Disorganization
• Difficulty sustaining mental effort
, -Impulsivity
• Excessive talking
• Blurting things out
• Not waiting for one's turn
• Interrupting
-Hyperactivity
• Fidgeting
• Leaving one's seat
• Running, climbing
• Trouble playing quietly
When is ADHD most often diagnosed - ,,,answer,,,..-preschool and elementary
school
• inattentive features become more prominent
ADHD Lifespan Considerations: Symptoms Change with Age - ,,,answer,,,..-
Young ,,,answer,,, with ADHD
• often have developmental delays
• may engage in behaviors less mature than peers
-Teens with ADHD at risk for:
• poor academic performance
• problems with driving
• difficulties with social situations
• risky sexual behavior
• substance abuse
->75% of ,,,answer,,, with ADHD experience symptoms in adulthood
-Adolescents & Adults with ADHD
• may struggle with executive function, attention, working memory
• problems with day-to-day functioning, performance at work, relationships
ADHD is a deficiency of neurotransmitters, mainly _________ & _________ -
,,,answer,,,..dopamine and norepinephrine
ADHD diagnostic criteria - ,,,answer,,,..-A pattern of at least six symptoms of
inattention and/or hyperactivity-impulsivity that interfere with functioning or
development.
-Symptoms persist for six months or longer.
